Welcome to Fort San Sanatorium, one of Saskatchewan’s most iconic abandoned sites. Once a thriving tuberculosis hospital overlooking the scenic Qu’Appelle Valley, Fort San now stands as a haunting reminder of the province’s early battles against infectious disease and the evolution of healthcare on the prairies.
Before its demolition in 2017, we explored the entire property, including the main hospital, outbuildings, and the doctors’ residence, capturing the final moments of this historic site before it was lost to time.
This post is Part One of Three in our Fort San series:
In the late 1800s and early 1900s, tuberculosis (TB), often called the “White Plague” spread rapidly through Canada’s growing cities. Crowded living conditions and a lack of medical understanding allowed the disease to flourish. At its peak, TB was responsible for more deaths in Saskatchewan than any other illness.
With no cure available, the survival rate hovered around 50%, and the only known treatments were fresh air, sunlight, rest, and nutrition. In response, the Saskatchewan Anti-Tuberculosis League was formed to combat the crisis. The League’s goal was to remove patients from urban centers, isolate them in clean rural environments, and provide treatment in specialized facilities known as sanatoriums. Patients were often admitted involuntarily and endured months sometimes years of strict regimens involving rest, monitored diets, and exposure to sunlight.
Fort San Sanatorium, located near Fort Qu’Appelle, was the first of three tuberculosis sanatoriums built in Saskatchewan. Construction began in 1913, and the facility officially opened in 1917.
At its peak, Fort San could accommodate approximately 350 patients, though records show that over 5,000 individuals received treatment there throughout its operation.
In its early years, Fort San functioned as a self-sufficient community, complete with:
- Its own power plant and steam tunnels distributing heat and electricity
- Livestock barns and vegetable gardens providing food
- On-site laundry, workshops, and staff housing
- A post office and recreation halls for patients and workers
Coal was the only major supply that needed to be transported in.
Before antibiotics, tuberculosis treatment focused on the “rest cure” a combination of bed rest, nutritious meals, and continuous exposure to fresh air and sunlight. Patients spent long hours on open-air porches and solariums, even in Saskatchewan’s harsh winters. Beds were wheeled outdoors or placed on covered balconies so patients could breathe “pure, healing air.” The hospital’s design featured large south-facing windows, verandas, and sunrooms specifically for this purpose.
While these methods rarely cured TB, they provided comfort, slowed disease progression, and reflected the era’s best medical practices.
In 1946, the discovery of the antibiotic Streptomycin revolutionized TB treatment, drastically reducing the need for isolation facilities. As the cure spread, sanatoriums like Fort San quickly became obsolete.
Fort San gradually scaled back operations and officially closed as a medical facility in 1972. However, by then it had treated thousands of patients and played a vital role in public health education and recovery efforts across Saskatchewan.
Fort San’s serene setting and spacious buildings found new life in 1967, when the site was partially converted into the Saskatchewan Summer School of the Arts. Artists, musicians, and writers gathered in the same halls that once held patients, giving the site a creative new identity. The arts school thrived for over two decades but closed in 1991 due to funding shortages.
In 1993, the property was repurposed again, this time as the Echo Valley Conference Centre. It hosted retreats, conferences, and educational programs. Several main buildings received new roofs, while unused structures were demolished to cut maintenance costs. Despite its beauty and historical value, the conference centre struggled financially and closed permanently in 2004.
Afterward, the property was sold to a private developer. Without upkeep, the once-proud complex fell into ruin windows shattered, building vandalized, water damage from rerouted eaves and failing roofs. By 2017, Fort San had been demolished with nothing left.
Today, Fort San Sanatorium remains one of Saskatchewan’s most fascinating and tragic historic sites, a place that reflects the province’s determination, innovation, and compassion in the face of crisis.
Though most of its buildings are gone, Fort San’s story endures through photographs, records, and the memories of those who lived, worked, or healed there. It stands as a reminder of how far medicine and Saskatchewan have come.
Read about our exploration journeys below (click the + to read more)
The facility still belonged to the provincial government in 2005 however a couple of explorers from Edmonton and I managed to see several of the buildings in September of that year even though the main buildings were locked up tight. While in one of the small houses, I noticed a hidden door in the floor with a kitchen range on top of it. I pushed the range out of the way and opened the cover on the floor. As soon as I opened it I could feel a cool breeze which is something you would never feel from a normal basement. I climbed down an old ladder into a small basement and on the one wall was a small opening that led into the steam tunnels. Excited we headed down the steam tunnels towards the main buildings several hundred yards away. We reached an intersection and we headed left which went to Mission Lodge. We slowly worked our way into the basement – I could see a light on and continued to cautiously move forward until I saw the red light of a motion detector followed immediately by a siren – we had triggered the alarm system. We ran back to where we had entered along the way I smashed my head on a pipe in the cramped tunnel so hard that I was bleeding however we made it off the property and left the area after quickly closing our entrance and sliding the range back over the door. I returned the following week with a friend of mine and found the small house with the tunnel access boarded up tight so at that point we knew someone was alerted to our entry.
Over the following couple of years I observed from a distance but never made an approach till September 2008 when Alicia and I returned. After recently conquering the Weyburn Mental Hospital we were confident that we could finally access the San.
There was a lot of activity around the main buildings on our first visit. There was a group of workers demolishing one of the small outbuildings. We decided to take the long way around them and headed over to the same house that I knew had access to the tunnels. Along the way, we noted that the main buildings appeared to be secure. The house was very different from the last time I saw it, all the doors were open or gone and it was rather ransacked. There on the floor was the entrance that I used 3 years earlier. The ladder was gone which made it a little difficult to get into the basement but I found an old crate that worked as a crude ladder and we were in.
I had noticed the last time I was in the tunnel that it was full of asbestos and this time I had a respirator and recommended that Alicia and the others have them as well. This wasn’t the nice intact asbestos that isn’t much harm – this stuff was degraded and falling off the pipes and was impossible to not mess with so having a respirator was mandatory if you cared at all about your health. We figured at this point that we would be fairly safe as once we made it into the tunnels we could stay out of sight till it was time to leave. We worked our way over to the power plant. The power plant was quite modern and no longer had any generation equipment – just the boilers remained. Having just seen the amazing power plant at Weyburn we weren’t as impressed as we may have normally been. We then worked our way back to the main buildings through approx ¼ mile of back-breaking tunnels where we entered the same basement I had triggered the alarm 3 years previously however this time there was no alarm and all was quiet.
The main buildings at Fort San are a mix of areas that have been completely renovated since it was a hospital to areas that haven’t been changed at all. Most of the rooms are original and many of them still have the solariums on one side and the wide doors that would have made it possible to push the patient out into the solarium bed and all. This trip was probably our best and most thorough as there were no close calls and the building was in very good shape with virtually no vandalism. We spent several hours exploring and photographing the buildings before making a quiet retreat out the steam tunnels. On the way out we worked our way over to the doctor’s residence to see how time was treating it, as it has been abandoned for many years.
We made a subsequent visit with 4 of us in attendance. The trip was also successful however on the way out we heard a truck approaching us and we ducked into a portion of the old power plant that was missing a section of wall and hid. There were several tense moments with our tourist explorers who could not be quiet and were trying to convince us we should just give up. We ultimately just let the driver of the truck drive a couple of surveying stakes into the ground and then left none the wiser of us standing only a few feet away from him. We made our way off the property. We didn’t make it back here till the following year.
That following year the place was a mess. We were there a few times in the late summer and early fall of 2009. The earlier trips required the use of the steam tunnels to access the main building however now there were large pieces of missing wall that you could just easily walk through to gain access to the buildings. The main buildings were mostly destroyed by vandals and many of the outbuildings were gone completely.
We returned again in the summer of 2011 and it was in even worse shape. It was becoming tough to see a place I loved so much in such terrible condition. Also with the increasing vandalism and exposure, I started hearing about people being charged with trespassing at the San. We decided at that point that the place wasn’t worth the risk of getting into trouble anymore.
In early 2012 the vast majority of what remained was also demolished. Leaving a couple of stripped-down shells of buildings. Nothing else remains.
We had one of the last standing Sanatoriums in the country, a beautifully preserved piece of our history that should have been saved for future generations to experience and enjoy. However our governments (Federal and Provincial) are so short-sighted when it comes to our heritage and how important it is to a society have decided to let it rot away, sold to the highest bidder to turn it into cottage land. Those beautiful buildings – gone, a gem for the citizens of Saskatchewan – gone, a living piece of our history – gone – it truly makes me sad to lose this piece of history.
I hope our efforts to document it help keep its memory alive for as long as possible.







































































































































































































































































